Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316743016 Individual Practitioner Female Practitioner

Brande Gwen Van Brocklin , MA CCC-SLP

Speech-Language Pathologist • Los Banos, CA

Professional Overview & Biography Verified Profile Summary

Brande Van Brocklin, MA CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Los Banos, CA. Practice services are available at 633 MONROE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

633 Monroe Ave

Los Banos, CA 936354718

Telephone 6197568070

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Los Banos, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
4 Specialists

Practicing in Los Banos, CA (13280 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-22
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CA 33487

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 22, 2025

NPI status registered as active in NPPES database

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Updated Practice Location February 22, 2025

Registered at 633 MONROE AVE, LOS BANOS, CA 936354718 (Tel: 6197568070)

📍
Updated Business Mailing Address February 22, 2025

Registered at 633 MONROE AVE, LOS BANOS, CA 936354718 (Tel: 6197568070)

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Provider Name / Credentials Updated February 22, 2025

Recorded as BRANDE VAN BROCKLIN, M.A. CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2025

Speech-Language Pathologist (License #33487 in CA)

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Initial NPI Registration & Enumeration February 22, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316743016
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2025
Last Update: February 22, 2025
Sole Proprietor: No

Mailing Address

633 Monroe Ave

Los Banos, CA 936354718

Phone: 6197568070

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.